Objective
To describe three patients who presented to a single institution within four years
of each other with isolated granuloma annulare of the penis. Granuloma annulare is
an inflammatory disease of the dermis that can affect men of any age including childhood.
Granuloma annulare of the penis is a remarkably uncommon presentation with only 12
cases previously reported.
Methods
A retrospective review of pathologic records was conducted confirming three cases
of penile granuloma annulare diagnosed at our institution.
Results
The three cases are described in detail including the history, presentation, histological
findings and treatment of each patient. The clinical variants, characteristic histology,
classic clinical presentation, differential diagnosis and recurrence following surgery
of granuloma annulare are reviewed.
Conclusion
We describe three individuals from a single institution with isolated granuloma annulare
of the penis suggesting this condition is more common than previously thought. Patients
with penile granuloma annulare may present to practicing urologists and it is important
to be familiar with this idiopathic subcutaneous disorder in order to avoid unnecessary
aggressive surgery.
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Article info
Publication history
Published online: July 11, 2011
Accepted:
April 12,
2011
Received:
March 3,
2011
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.